CUSTOMER FEEDBACK FORM

Reference Number OES/FB/11/000-1

Release Date :

Dear Valued Customer,

Valid Date :

Thank you for choosing Orient Energy Systems(Private) Limited, It is our great pleasure to
provide you the best quality of service at all times.
Your assistance in completing this form is greatly appreciated. Your honest feedback will
help us to serve you better and enable us to work on improving our service standards.

Company Name:

Customer Name:

Address:
Designation:
E-Mail:
Phone Number

What type of feedback you want to give to us?

Cell Number:

What type of Bussiness you are involved in with Orient?

Complaint of our Service & Staff

End User (Product Support of Generator, Engine other business segment)

Suggestion to improve our Service

Serving as vendor

Compliment of our Staff & Service

Commercial Bussiness (Parts Purchasing etc)

TOPIC
A- Cost

Excellent

Good

Fair

Poor

Excellent

Good

Fair

Poor

1. How would you rate our prices .........................................................................................

2. How Would you rate our competetors prices ............
3. How would you rate our cost transperancy..................................................................
B- Service, Performance & Flexibility

1. Response time ...................................................................................

2. Supervisor's management and assistance ......
3. Staff attitude .............................................................................................
4. Quality of service ...............................................................................
5. Completion of job without breakage/damage.....................................
6. Neatness & clearance ........................................................................
7. Quality of information .......................................................................
8. How will you rate our overall quality of Service? ........................

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CUSTOMER FEEDBACK FORM

Reference Number OES/FB/11/000-1

C- Quality Over All

Excellent

Good

Fair

Poor

Excellent

Good

Fair

Poor

1. How would you rate the quality of product ......

2 Shipment received condition?.............
3. Was the Service Provided on time?..................................................
D- Over All Experience

1. Documentation receiving time (quotation, Invoices, Etc)....

2. Our Service gives you experience?..............................................
3. What is the recommendation of our service to others?............

Additional
Comments:

Privacy Statement:
The information we are collecting on this form will be used by us to improve our services. The information you
have provided will be kept confidential .
You have the right to access and update the information anytime you want. After completing this form kindly
send back this form to us on Orient Energy Systems (Private) Ltd Plot Number 09 sector 24, Korangi Industrial
Area. Karachi or fax back to us on +922135072095
For Office Use Only
Was the feedback against the complaint has been resolved ?

Yes

No

Yes

No

If yes then what

was the
corrective
measures?
Followup Required?

If yes then
provide Details

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